{"title":"Bilateral Ovarian Mucinous Cystadenocarcinoma in an Adolescent Girl: A Case Report.","authors":"Alekhya Suri, Yuvaraj Srinivasan, Anupama Hari","doi":"10.1016/j.jpag.2026.02.013","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Primary epithelial ovarian malignancies in adolescents are extremely rare (<1%). Mucinous cystadenocarcinoma (MCAC), especially bilateral disease, is exceptional and often mimics benign ovarian cysts, delaying the diagnosis.</p><p><strong>Case: </strong>We report a 16-year-old girl with hypothyroidism who presented with abdominal distension, pain, and 20-kg weight gain. Imaging showed bilateral ovarian masses with omental nodularity despite normal tumor markers. Surgery confirmed FIGO IIIC bilateral MCAC, and she completed six cycles of paclitaxel-carboplatin.</p><p><strong>Conclusion: </strong>At three‑ year follow‑ up, the patient continues to be disease‑ free. This case highlights the limitations of tumor markers in adolescent ovarian malignancy, emphasizes the importance of cross‑ sectional imaging and clinical correlation, and demonstrates the challenges of management including considerations of future fertility.</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of pediatric and adolescent gynecology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jpag.2026.02.013","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Primary epithelial ovarian malignancies in adolescents are extremely rare (<1%). Mucinous cystadenocarcinoma (MCAC), especially bilateral disease, is exceptional and often mimics benign ovarian cysts, delaying the diagnosis.
Case: We report a 16-year-old girl with hypothyroidism who presented with abdominal distension, pain, and 20-kg weight gain. Imaging showed bilateral ovarian masses with omental nodularity despite normal tumor markers. Surgery confirmed FIGO IIIC bilateral MCAC, and she completed six cycles of paclitaxel-carboplatin.
Conclusion: At three‑ year follow‑ up, the patient continues to be disease‑ free. This case highlights the limitations of tumor markers in adolescent ovarian malignancy, emphasizes the importance of cross‑ sectional imaging and clinical correlation, and demonstrates the challenges of management including considerations of future fertility.
期刊介绍：
Journal of Pediatric and Adolescent Gynecology includes all aspects of clinical and basic science research in pediatric and adolescent gynecology. The Journal draws on expertise from a variety of disciplines including pediatrics, obstetrics and gynecology, reproduction and gynecology, reproductive and pediatric endocrinology, genetics, and molecular biology.
The Journal of Pediatric and Adolescent Gynecology features original studies, review articles, book and literature reviews, letters to the editor, and communications in brief. It is an essential resource for the libraries of OB/GYN specialists, as well as pediatricians and primary care physicians.
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